• Proceedings of the Korean Society of Veterinary Service Conference
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• 1995.04a
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• pp.81.2-82
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• 1995

• Korean Journal Plant Pathology
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• v.3 no.1
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• pp.22-27
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• 1987

• Pediatric Infection and Vaccine
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• v.23 no.1
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• pp.67-71
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• 2016

Erythema nodosum (EN) is a painful skin disease characterized by erythematous tender nodules located predominantly over the extensor aspects of the legs. Various etiological factors, including infection, drug administration, and systemic illness have been implicated as causes of EN. Mycoplasma pneumoniae is one of rare infectious agents to cause EN in children. We report a case of a 7-year-old boy with context of respiratory illness and skin lesions with arthralgia. From stepwise approaches, IgM antibody against M. pneumoniae was positive with titers of 12.18, consistent with respiratory infection of M. pneumoniae and histopathology showed findings of septal and lobular inflammation without vasculitis consistent with EN. In addition, we reviewed the pathogenesis of this disease based on our case and the previous reports.

• Korean Journal of Poultry Science
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• v.46 no.4
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• pp.271-277
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• 2019

In recent years, consumers have recognized the issue of and expressed concern over farm animal welfare. Therefore, worldwide, chicken farms are transitioning from traditional caged breeding systems to welfare-oriented breeding systems. In this study, we further analyzed and compared the prevalence and protection rate of various diseases by challenging chickens under conventional and welfare-oriented breeding conditions with low pathogenic avian influenza. Ten chickens were randomly selected from each farm (conventional and welfare) from which Mycoplasma gallisepticum (MG) and Mycoplasma synoviae (MS) were identified and isolated. Additionally, low pathogenic avian influenza (LPAI) were challenged to broilers from each farm and samples were collected from these chickens using oral and cloacal swabs to investigate viral shedding and titer. The results showed that Mycoplasma infection did not significantly differ between breeding systems. Initially, LPAI viral shedding and titer significantly differed between breeding systems post-challenge, but as the experiment progressed, there was ultimately no significant difference.

• Tuberculosis and Respiratory Diseases
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• v.63 no.6
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• pp.511-514
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• 2007

Mycoplasma pneumoniae is a common pathogen of community-acquired pneumonia. Mycoplasma pneumonia causes upper and lower respiratory tract symptoms in all age groups, with the highest attack rates in subjects 5 to 20 years old. In patients with mycoplasma pneumonia, the most common radiographic findings may be reticulonodular or interstitial infiltration, which have a predilection for the lower lobes. Findings that show lung collapse on a chest X-ray are very rare. We report a case of mycoplasma pneumonia that showed right upper lobe collapse.

• Pediatric Infection and Vaccine
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• v.31 no.1
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• pp.37-45
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• 2024

Purpose: This study aimed to examine the clinical features and determinants of macrolide-unresponsive Mycoplasma pneumoniae pneumonia (MUMP) and to assess the differences in the time to fever resolution between doxycycline (DXC), tosufloxacin (TFX) and corticosteroid (CST) as second-line treatment. Methods: We retrospectively analyzed the medical records of patients under the age of 18 who were admitted to Nowon Eulji University Hospital between July 2018 and February 2020, diagnosed with mycoplasma pneumonia. Macrolide resistance was confirmed by detecting point mutations in the 23S rRNA gene. MUMP was clinically defined by persistent fever (≥38.0℃) lasting for 72 hours or more after the initiation of macrolide treatment. In cases of MUMP, patients were treated with an addition of CST, or the initial macrolide was replaced either DXC or TFX. Results: Out of 157 cases of mycoplasma pneumonia, 83 cases (52.9%) did not respond to macrolides. Patients with MUMP exhibited significantly higher C-reactive protein (CRP) levels (3.2±3.0 vs. 2.4±2.2 mg/dL, P=0.047), more frequent lobar/segmental infiltrations or pleural effusions (56.6% vs. 27.0%, P<0.001; 6.0% vs. 0.0%, P=0.032), and a higher prevalence of 23S rRNA gene mutations (96.4% vs. 64.6%, P<0.001) when compared to those with macrolide-susceptible M. pneumoniae pneumonia. In terms of second-line treatment, 15 patients (18.1%) responded to CST, 30 (36.1%) to DXC, and 38 (45.8%) to TFX. The time to defervescence (TTD) after initiation second-line treatment was significantly shorter in the CST group compared to the DXC (10.3±12.7 vs. 19.4±17.2 hours, P=0.003) and TFX groups (10.3±12.7 vs. 25.0±20.1 hours, P=0.043), with no significant difference observed between the DXC and TFX groups (19.4±17.2 vs. 25.0±20.1 hours, P=0.262). Conclusions: High CRP levels, the presence of positive 23S rRNA gene mutation, lobar or segmental lung infiltration, and pleural effusion observed in chest X-ray findings were significant factors associated with macrolide unresponsiveness. In this study, CST demonstrated a shorter TTD compared to DXC or TFX. Further, larger-scale prospective studies are needed to determine the optimal second-line treatment for MUMP.

• Clinical and Experimental Pediatrics
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• v.48 no.4
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• pp.438-442
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• 2005

Kawasaki disease is an acute febrile vasculitis that occurs predominantly in young children under 5-years-old. The patients present generally with a high spiking fever that is unresponsive to antibiotics and lasts for more than five days at least. Prolonged fever has been shown to be a risk factor in the development of coronary artery disease. It seems to be certain that infectious agents are associated with the pathogenesis of Kawasaki disease. The differential diagnosis of Kawasaki disease must rule out infectious diseases including scarlet fever, toxic shock syndrome, measles, and so on. This is very important for adequate treatment and prevention of cardiac complications of Kawasaki disease. We experienced a 25-month-old boy who had high fever and pneumonic consolidation in the right middle and lower lobe of the lung that was considered as mycoplasma pneumonia on admission and developed coronary artery aneurysmal dilatation during treatment with roxythromycin.

• Pediatric Infection and Vaccine
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• v.4 no.1
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• pp.155-159
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• 1997

We had experienced a case of pericarditis associated with Mycoplasma and Salmonella co-infection. This 5-year old boy presented with high fever and generalized tonic-clonic seizure. The diagnosis was based on the markedly increased serial titer of Widal test and cold agglutinin with Mycoplasma indirect hemmagglution test during hospitalization. The electrocardiogram revealed P-R interval prolongation and an echocardiogram revealed moderate pericardial effusion. The patient treated with ceftriaxone and erythromycin for 2 weeks, and responded to the treatment well. We report this case with brief review of the related literatures.

• KOREAN POULTRY JOURNAL
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• v.25 no.12 s.290
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• pp.123-127
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• 1993

겨울철이 되었다. 일반 계사는 밀폐되고 윈도레스계사 또한 휀 속도를 줄이게 되어 계사내는 먼지와 오염된 공기로 차게된다. 온도 또한 떨어진다. 얼른 떠오르게 되는 것이 호흡기질병이며 무엇인가 대책이 없을까 하는 것이다. 호흡기질병을 예방하기 위해서는 환기, 보온, 소독, 백신, 약제투여란 5박자에서 환기, 보온, 소독과 약제는 다 아는 사실이나 백신 응용에 관한 문제는 아직까지 가격이 비싸기 때문에 경제성 문제로 많이 사용되고 있지 않는 상황이다. 그러나 경제성에 대한 국내의 실제 성적은 아직까지 농장에서의 데이타가 미비하여 정확한 수치로 산출되지 못하고 있다. 이에 일본의 3군데 가족보건위생소에서 발표한 현장성적과 정리되지 않은 국내 사정을 참고하여 보면서 생산성 향상에 보탬이 될 수 있는 방법이 되었으면 한다. 닭이 마이코플라즈마 갈리셉티컴(MG)에 감염되면 호흡기 증상의 유무에 관계없이 산란저하와 중지란, 사롱란의 발생이 많이 일어나 경제적 피해를 입게되는데 이를 방지하기 위해 MG생독과 사독을 미국에서 먼저 개발하였으며 이를 여러나라에서 사용하고 있는 중이나, 일본에서는 1989년 사독백신을 개발하여 널리 사용하고 있으며 이들 백신은 닭에게 MG감염을 완전히 막아 주는 것은 아니나 호흡기 증상이나 기도 병변 형성을 억제함과 동시에 산란저하, 부하율저하 현상을 경감시켜주는 역할을 해내고 있다.

• Pediatric Infection and Vaccine
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• v.12 no.2
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• pp.101-107
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• 2005

Purpose : We evaluated the C-reactive protein(CRP), white blood cell(WBC) and neutrophil levels in the various infectious diseases in a single hospital. Methods : A total of 640 medical records of children with infectious diseases such as bacterial meningitis(19 cases), acute pyelonephritis(55 cases), measles(253 cases), chicken pox (38 cases), mycoplasma pneumonia(160 cases), tsutsugamushi disease(39 cases) and Kawasaki disease(152 cases) admitted to The Catholic University of Korea, Daejeon St. Mary's hospital from 1996 to 2002 were retrospectively analyzed. Results : The mean CRP level was $17.9{\pm}6.4mg/dL$ in bacterial meningitis, $9.1{\pm}5.6mg/dL$ in Kawasaki disease, and $8.1{\pm}3.3mg/dL$ in acute pyelonephritis. In the mycoplasma pneumonia and tsutsugamush disease group(atypical bacterial group), the CRP level was $3.2{\pm}2.5mg/dL$, and $1.0{\pm}0.8mg/dL$ in the viral diseases group(measles and chicken pox). There were also significant differences for the WBC count and neutrophil differential between the 3 infectious groups with higher level in the bacterial infections group($15,600{\pm}6,100/mm^3$, $62{\pm}21%$) than in the atypical bacterial infections and in the viral infections group($9,600{\pm}3,300mm^3$, $57{\pm}11%$ and $7,300{\pm}2,900/mm^3$, $49{\pm}16%$, respectively). The inflammatory indices in Kawasaki disease were like those of bacterial infections. There was a correlation between CRP level and WBC or neutrophil count in the bacterial infections and Kawasaki disease groups. Conclusion : The CRP, WBC and neutrophil levels showed a clear difference between the infectious diseases according to causative agents. The WBC and neutrophil level was different according to age in measles and mycoplasma pneumonia. There was a correlation between CRP level and WBC or neutrophil count in the bacterial infections and Kawasaki disease groups.